HomeMy WebLinkAboutBuilding Miscellaneous 2013-10-3 •
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,. . SPRINGFIELD
LUEILDING EUGENE
�o NTY ( ` DfPAf2TMENT, LLC_ /
• OREGON
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'Exterior Wall Envelope
Self-Certification Form
V
1, a R N B r , am the general contractor or the
owner-builder at the following address: • • _
•
Street Address (( 1 ,
City " Qn p V l"1-`'Z
k "in 9( ::-e )11 CD Permit#
To conform to the 2008 Oregon Residential Specialty Code (ORSC), Section
•
R703.1.1, I am notifying the building official that I am aware of the exterior wall
envelope requirements cif R703.1.1, and hereby certify that the components of
the exterior wall envelope have been installed in accordance with the code
requirements. [Section R703.1.1 is provided for reference on the reverse side of
this form.]
•
Signatur
/0p-3- /3
Date •
Revised: 2/8/2010
4
SPRINGFIELD _-n•-••
Ctmor RRINGFIELDtOREGONS -. . r r
DEVELOPMENT SERVICES DEPARTMENT
S gL.f, 225 FIFTH STREE
\
SPRINGFIELD,OR 97477
PHONE (541)726-3753
FAX (541)726-3689
• Iwrw.ci.springfield.or us
HIGH-EFFICIENCY LIGHTING SYSTEMS
OREGON RESIDENTIAL SPECIALTY CODE (ORSC)
•
Permit No.: U °e� ?Ir �� , `t Oft mit urisdiction L, viyfhk�, E, 4
V+ v •' `,1 b '. tor^
Site Address: 0ten e%o Klyk A r bitty t 9
,cv t��} �hh
Subdivision/Lot: 0) VIA t& t
and/or �. ..•.✓ — -
Map and Tax Lot: 0`� rlq
!lrf
By my signature below, I certify that a minimum of❑ fly-(SOj pe ent, *❑ seventy-five (75) percent, of
the permanently installed lighting fixtures in the above mentioned building have been installed with compact
or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon
Residential Specialty Code N1107.2)1
* Check the 75% box if the additional measure selected to comply with ORSC N1101.1 and Table
N1101.1(2) requires 75% of lighting fixtures to have energy efficient lamps.
Signed: Date:
Owner/General Contractor/Authorized Agent
Print / ,.
Name: IZettets. All
• Contractor's CCB # nlJtfi �d�h-v Expiration Date:
1 ORSC Section N1107.2. High-Efficiency Lighting Systems. A minimum of fifty(50)percent of the permanently installed
lighting fixtures, seventy-five(75%)percent,if the selected additional energy code measures in the Table NI 101.1(2)requires
greater lighting efficiency, shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of
40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement.
it lding official shall be notified in writing at the final inspection that a minimum of the required percentage of the
`nt y installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt.
nciency Inter.doc
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